Related Experiment Video
Updated: Nov 9, 2025
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
4.2K
Risk Assessment in Thyroid Lobectomy and Total Thyroidectomy using Over 100 Thousand Cases
Philip R Brauer1,2, Brian B Burkey2, Chandana A Reddy3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
The Annals of Otology, Rhinology, and Laryngology
|April 9, 2021
Summary
Total thyroidectomy is associated with a lower risk of reoperation compared to thyroid lobectomy. Key risk factors for reoperation include hypertension, smoking, and malignant pathology, guiding surgeons in patient risk mitigation.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Health Services Research
Background:
- Thyroidectomy is a common surgical procedure for various thyroid conditions.
- Choosing between thyroid lobectomy and total thyroidectomy involves balancing potential benefits and risks.
- Understanding risk factors for postoperative complications is crucial for patient management.
Purpose of the Study:
- To compare the risk factors and non-thyroid specific postoperative complications between thyroid lobectomy and total thyroidectomy.
- To identify patient-specific factors influencing the likelihood of returning to the operating room after thyroid surgery.
Main Methods:
- Retrospective analysis of adult patients undergoing thyroid lobectomy or total thyroidectomy.
- Utilized the National Surgical Quality Improvement Program (NSQIP) database from 2005 to 2017.
- Excluded patients not treated by otolaryngologists or general surgeons and those with missing demographic data.
Main Results:
- Total thyroidectomy patients were significantly less likely to require reoperation (OR=0.491).
- Risk factors for reoperation included hypertension, malignant pathology, and smoking.
- Common non-thyroid specific complications included unplanned intubation, urinary tract infections, and superficial surgical site infections for both procedures.
Conclusions:
- Identified specific risk factors (hypertension, malignancy, smoking) that may necessitate closer follow-up after total thyroidectomy or lobectomy.
- Characterized the most frequent postoperative complications for each surgical approach.
- Findings can inform pre-operative planning to mitigate surgical risks for patients undergoing thyroid surgery.
Related Concept Videos
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
224
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
224
01:23The Thyroid Gland
5.3K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
5.3K